BEHAVIOUR PLAN RECORD SHEET

February 1 Breakfast Lunch Supper

Fruit Eaten: Blueberries Strawberries Watermelon
Daily Reflection:
I felt great and I am motivated to do this behaviour change.

February 2 Breakfast Lunch Supper

Fruit Eaten: Banana Watermelon Peaches
Daily Reflection:
I just forgot to write the daily Reflection. I am a day late in writing.

February 3 Breakfast Lunch Supper

Fruit Eaten: Blueberries Banana Strawberries
Daily Reflection:
I feel great. I feel a little more alert than usual.

February 4 Breakfast Lunch Supper

Fruit Eaten: Strawberries Watermelon Banana
Daily Reflection:
I feel great. I am confident that I can do this.

February 5 Breakfast Lunch Supper

Fruit Eaten: Banana Blueberries Strawberries
Daily Reflection:
I feel great after only doing this behaviour change for the first 4 days.

February 6 Breakfast Lunch Supper

Fruit Eaten: Blueberries Banana
 BEHAVIOUR PLAN RECORD SHEET

Daily Reflection: Feel really good

February 7 Breakfast Lunch Supper

Fruit Eaten: Banana Grapes Blueberries
Daily Reflection: I feel really good and alert about every thing that I do.

February 8 Breakfast Lunch Supper

Fruit Eaten: Blueberries Watermelon
Daily Reflection: I feel really good and alert about every thing that goes on in my life.

February 9 Breakfast Lunch Supper

Fruit Eaten: Strawberries Blueberries Peaches
Daily Reflection: I feel I have a bit more energy

February 10 Breakfast Lunch Supper

Fruit Eaten: Banana Grapes Watermelon
Daily Reflection: I feel really good and alert about every thing that I do.

February 11 Breakfast Lunch Supper

Fruit Eaten: Strawberries Banana
Daily Reflection
I feel really good and alert but I just forgot to eat one piece of fruit tonight for supper.
 BEHAVIOUR PLAN RECORD SHEET

February 12 Breakfast Lunch Supper

Fruit Eaten: Banana Watermelon Strawberries
Daily Reflection: I feel great and very alert with doing with behaviour change plan for 12 days so far, knowing
that I only have 2 days left.

February 13 Breakfast Lunch Supper

Fruit Eaten: Banana Mango Blueberries
Daily Reflection: I feel great and very alert with doing with behaviour change plan.

February 14 Breakfast Lunch Supper

Fruit Eaten: Banana Blueberries Watermelon
Daily Reflection: I feel very good and really alert after doing this behaviour change for two weeks. I feel like I
will make this behaviour change a part of my every day routine.